KALYNN RAY GIBSON (APRN, CNP) – Family Nurse Practitioner, NPI 1629883129

KALYNN RAY GIBSON (APRN, CNP) is a healthcare provider. based in Frakes, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, CNP. They hold a License No. 4035263 (KY). The NPI Number for KALYNN RAY GIBSON (APRN, CNP) is 1629883129

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KALYNN RAY GIBSON (APRN, CNP)
NPI
1629883129
Phone
(606) 337-3657
Address
94 CHARLES GIBSON RD
Enumeration Date
11 February 2025
Last Update Date
11 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6062485322
Graduation Year
2025 (1 year ago)
PAC ID
9032632591
Group Practice PAC ID
0143572909
Professional Enrollment ID
I20250326000859
Address ID
KY409652881MI125XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for KALYNN RAY GIBSON (APRN, CNP)

  • 94 CHARLES GIBSON RD

    FRAKES, KY 409409088

    Phone: (606) 337-3657

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250326000859INurse PractitionerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40940)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143572909View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerTN

Reviews

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Frequently asked questions

What number should I use to identify KALYNN RAY GIBSON (APRN, CNP) for billing?
Administrative and clinical systems typically use NPI 1629883129 for KALYNN RAY GIBSON (APRN, CNP).
Should I treat KALYNN RAY GIBSON (APRN, CNP) as an active provider?
Patients and plans typically see KALYNN RAY GIBSON (APRN, CNP) as active in the national extract.
What type of care does KALYNN RAY GIBSON (APRN, CNP) provide?
KALYNN RAY GIBSON (APRN, CNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KALYNN RAY GIBSON (APRN, CNP) tied to Frakes, Kentucky?
If you are local to Frakes, Kentucky, KALYNN RAY GIBSON (APRN, CNP) may be relevant to your search.
Who maintains KALYNN RAY GIBSON (APRN, CNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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